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AYUSHDHARA ISSN: 2393-9583 (P)/ 2393-9591 (O) An International Journal of Research in AYUSH and Allied Systems Review Article NEED OF INTEGRATED APPROACH AGAINST CANCER TO IMPROVE QUALITY OF LIFE INSIGHT OF AYURVEDA Kiran Tawalare1*, Ganesh Hedaoo2, Snehvibha Mishra3, Ravindra Dhimdhime4, Gopal Sharma5, Kalpana Tawalare6 *1Assistant Professor, 2P.G. Student, 3Associate Professor, Department of Kriya Sharir, Shri Ayurved College, Nagpur. 4Professor, Department of Kriya Sharir, Govt. Ayurved College, Osmanabad. 5Professor, Department of Rachana Sharir, Govt. Ayurved College, Nagpur. 6Assistant Professor, Dept. of Rachana Sharir, Shri Ayurved College, Nagpur. KEYWORDS: Ayurveda, Arbuda, ABSTRACT Cancer, Vihar, Granthi, Satva, Being leading cause of death in economically developed countries and second Yoga. leading cause of death in developing countries cancer become giant problem. In India, 155863 new cases will be detected by 2015 and death would be 75957 hence, there is an increase in incidence as well as mortality rate. Many efforts are taken to control the disease by scientist and health organization, but still, it is spreading swiftly. Available treatment of cancer can prolong the survival of patient, but may cause severe adverse effects and obliterated the quality of life. Even experts believe that role of chemotherapy is complex issue at the end of life. *Address for correspondence Thus ray of hope turns toward palliative care to treat the cancer. With an aim to Dr. Kiran Tawalare increase the life quality of the cancer patient, author consulted the classic text of Assistant Professor, Ayurveda. It was found that the disease resembling with cancer codified in the Department of Kriya Sharir, Shri classic text of Ayurveda in the form of Granthi and Arbuda with Shodhan Ayurved Mahavidyalaya, Nagpur (curative) and Shaman (palliative) treatment and regimen to follow Aahar, Vihar, Email: [email protected] Dincharya, Rutucharya, Sadvritta, Yoga, and Satvavajaya treatment. Integration of Contact: 09226209022 modern and holistic method of treatment will definitely prove boon for cancer patient and will help them to enjoy meaningful life. INTRODUCTION In India the international agency for research on combination, including surgery, chemotherapy and cancer estimated indirectly that about 635000 people radiation treatments. Sometime due to this treatment, died from cancer in 2008 representing about 8% of all patient are suffering from many side effects which are estimated global cancer death and 6% of all death in very dreadful than actual symptoms of cancer. In India.[1] Cancer is not just one disease, but a large group addition to these, many patients are offered Ayurveda of almost 100 diseases degrading patient slowly treatments either aimed at controlling the tumor or at physically mentally and economically, making their life improving the symptoms and quality of life of the patient. miserable. Two main characteristics of cancer are Classical Ayurveda literature has given ample uncontrolled growth of the cells in the human body and indication that cancer was known to ancient Ayurveda the ability of these cells to migrate from the original site physician. Cancer definitely is not a modern disease; and spread to distant sites. If the spread is not controlled, Aacharya described the cancer in the name of Arbuda cancer can result in death. Part of the problem is that the and Granthi. It is a disease with the involvement of three malignant cells are living in and invading normal tissue Doshas (Vata, Pitta, Kapha) and Mansa, Rakta, Medas around it. While some of these tumors can be fairly well dhatu as principal Dushyas. Ayurveda helps cancer circumscribed and isolated, some are quite invasive and patients to improve their quality of life and getting better spread throughout various parts of the body, making curative effect. Aggravated Doshas causing vitiation of their removal quite difficult. The goals of treatment for the muscle tissue produce muscular swelling, anywhere cancer are generally to reduce the amount of cancer cells in the body which is round, static, with mild pain, big in in the body, to zero ideally. However, this is often easier size, deep rooted, growing slowly and not ripening this said than done. Many of the efforts are being made to disease is called as Arbuda (~malignant tumor).[2] Vata control the disease by doctors, scientists, and health and other Doshas associated with Kapha, getting organizations but still cancer is spreading very fast. aggravated, vitiate the muscle, blood and fat tissue and In general, three major forms of cancer produce a round bulged and hard swelling is called as treatment have evolved; often times used in some Granthi (~benign tumor).[3] Aacharya Charaka AYUSHDHARA | November - December 2015 | Vol 2 | Issue 6 428 AYUSHDHARA, 2015;2(6):428-432 distinguishes Granthi from Arbuda by the presence of a Infection due to prolonged bed rest and depression capsule.[4] According to certain thoughts among the of immune system by cytotoxic drugs and irradiation Ayurvedic physician, pathology of cancer can be by X- ray or radioactive isotopes used in treatment. correlated with the following disease Dustashotha, Organ failure - tumor may destroy to much tissue Dustagranthi, Dustaviserpa, Dustanadivarana, that an organ cannot function, severe damage to vital Dustamansa pradosaj vikara, Pandu (anaemia), organs such as lungs, brain, liver and kidneys are Rakatajkrimi.[5] common cause of death. The object of Ayurveda is to protect health of the Carcinomatosis - When there is wide spread healthy persons and to cure the disease of diseased metastatic disease associated with cachexia, severe [6] one. Ayurveda treatment plays an important role in physiological and biochemical disruption follows cancer. It is not only reducing symptoms but also causing death. improve quality of life. During chemotherapy and Hemorrhage - This may occur when a tumor grows radiotherapy patients faced many side effects, principles into and ruptures the wall of a vein or artery, the of Ayurvedic treatment can help the patient to reduce most common sites are gastrointestinal tract, brain, side effect Hence, there is an urgent need to lungs and peritoneal cavity.[9] communicate precious holistic knowledge of Ayurveda to the scientific world. This will lead to create awareness Due to side effects of conventional cancer about palliative concept of Ayurveda in scientific therapy, the complementary and alternative medicine community. Ayurveda has the potential to become an has attracted the view of researcher and medical important arm in standard care of cancer treatment. The practitioners. Assessing above major side effects of ancient wisdom of Ayurveda needs to be explored in a chemotherapy are looked through an Ayurvedic scientific world. The doctors, Vaidyas, researchers, and perspective; it appears that they are symptoms of scientists have to work together to generate various level Raktadusti and manifestation of aggravated Pitta dosha. of evidence to improve the quality of life in cancer The compendia helps doctor and patient suffering from patients and make them peaceful while moving toward cancer to combat serious chemo-radio therapy related end. side effects through simple but effective science based Ayurveda remedies. These described treatments are Aims commonly available and these Ayurveda based solution -To state utility of palliative treatment in the patients of act as an important adjuvant to chemo-radio therapy and cancer. enhance the quality of life of cancer patients. -To assess the significance of integrated cancer Ayurveda can full fill the expectations of such treatment to improve quality of life. patients by adding years in their life and improve quality Materials And Methods of life. It is observed that patient take different decisions Classical texts of Ayurveda viz. Charaka Samhita, about chemotherapy near the end of life such treatment Sushruta Samhita, Ashtanga Sangrah and Ashtanga can prolong survival or reduce symptoms but may cause Hridaya were consulted as research references, to know severe adverse effects and also prevents the patient from the line of treatment in ancient system Ayurveda. engaging in meaningful life. Today even experts believe Evidence based resources as journals, books, and data that the appropriate role of chemotherapy in the end of based information from various search engines were life is a complex issue. Thus the role of palliative care is referred for recent information. Critical analysis of very important in such a case during chemotherapy and available literature was done. radiotherapy. Actually while treating the patient the DISCUSSION physician should aim to improve patient’s quality of life Modern view of cancer and relieve symptoms and increase the survival by many folds. Habits like smoking and alcohol will lead to [10] increase in the chronic disease especially as cancer. Cancer insight of Ayurveda Tobacco consumption in term of chewing tobacco or Classical text of Ayurveda define the causes of cancer as smoking will account for 50% of all cancers. Clear factor fallow. causing cancer are processed meat, dairy products and Aahar (food) - Ati katu ras (pungent), Ati amla ras alcohol. Obesity is a clear risk factor for cancer.[7] (sour), Ati mudhur ras (sweet), Ati lavan ras (salty), Chemotherapy and radiotherapy are highly toxic and Ati ushna (hot), Ati sheeta (cold), Ruksha aahar (dry), both damage adjacent healthy cells. Side effect may be Virudhaashan,